1961 Beaver Dam Ct5 / 7? +
RESIDENTIAL SUILDING
Permit Application
City Of Eagan
3830 Pilvt Knab Road, Eagan Mn 55122
Telephane # 651-675-5675 FAX # 651-675-5694
? `-1 l . `l 5
New ConstrucHon Requiremenis RemodeWRepair Reauirements Office Use Onlv
3 registered site surveys showing sq. ft ot lot sq. ft ot house; and all roofed areas 2 copies of plan Cert oi Survey Recd
(20% maximum lot coverage allowed) 1 set of Energy Calculations (or healed addi6ons 7ree Pres Plan Recd
2 copies of plan showing beam & wiridow sizes; poured found design, etc. 1 siie survey far addifions & decks Tree Pres Not Reqd
1 set of Energy Calculataons Addition - indreate rf on-srte sepdc sysfem _ On-site Septic System
3 coples of Tree Presenration Plan ii lot platted after 711193
Rim Joist Detail Options selectian sheet {hidgs with 3 or less units
Date ?-, ! ?3I 03 Canstrnction Cost z 00
Site Address UnitlSte #
Description of Work r`^e-
Multi-Family BZdg ? Y(-Z'N Fireplace(s) _ 0 --/1 - 2
Property Owner ;r•--??'.?? ? `? c? ?? ?h?.?,-? ??_?-a--? Tetephone # ?S
Contraetor
Address O2rxqv-v- C-5 _ City
State Zip 1Y?` Telephane #((?s1
?
COMPLETE THiS AREA 4NLY IF C4NSTRUCTING A NEW BUILDING
Minnesota Rules 7670 Category _i Minnesota Rules 7672
Energy GOde CategOry . Residentiai Ventilation Category 1 Worksheet ? • New Energy Code Worksheet
(4 submission type) Submitted Submitted
• Energy Envelope Calcufations Submitted
Licensed Piumber
Mechanical Contractor
Sewer/Water Contractor
Telephane # (
Telephane # (
Telephone # (
I hereby apply far a Residential Building Permit and acknawledge that the information is complete and accurate;
that the work will be in conformance with the ardinances and codes of the City of Eagan and the State of NIN
Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a
permit; that the work will be in accordance with the approved plan in the case of work which requires a review and
approval of plans.
S
Applicant's rinted Name Applicant' ignature
oFFIcE usE omLY
Sub Types
? 01 FaundaGon
? 02 SF Dwelling
0 03 01 of _ plex
? 04 02-plex
? 05 a3-plex
? 06 04-p4ex
? 07 05-plex ? 13 16-plex 0 20 Poai
? 08 06-plex O 16 Fireplace ? 21 Porch (3-sea.)
0 09 07-plex ? 17 Garage ? 22 PorchlAddn. (4-sea.)
0 10 08-plex ? 18 Deck 0 23 Porch (screen/gazebo)
? 11 10-plex 0 19 Lower Level ? 24 Storm Damage
? 12 12-plex Plbg_Y or,_, _, N? 25 MRSCellaneous
0 30 Accessory Bldg
0 31 Ext. Alt - Multi
0 33 Ext. Alt - SF
0 36 Multi Misc.
Work Types
? 31 New ? 35 !nt Improvement ? 38 Dempfish (Interior) 0 44 Siding
? 32 Addition ? 36 Move Bldg. ? 42 Demofish (Foundatian) 0 45 Fire Repair
? 33 Alteration ? 37 Demolish (BIdg)' ? 43 Reroaf 0 46 WirsdowslDoors
? 34 Replacement 'Demoiition (Errtire Bldg) - Give PCA handout to applicant
Valuation Occupancy MC/ES System
Census Code Zoning City Water
SAC Units Stories Booster Pump
Nbr. of Units 5q. Ft. PRV
Nbr. af Bldgs Length Fire Sprinklered
Type vf Const Width
REQUIRED INSPECTIONS
- Faotings (new bldg) FinaUCA.
_ Footings (deck) Final/No C.O.
_ Footings (addition) _ plurnbing
_ Foundarion HVAG
_ Drain Tile Other
Roof _ Ice & Water _ Final Pool
Ftgs
Air/Gas Tests Final
_ Framing _ _
_
Siding Stucco Stone _
- Fireplace _ R.I. Air _
Test - Final ? Windows (new/replacement)
- Tnsulation _ Retaining WaII
Approved Sy
Base Fee
Surcharge
Plan Review -
MCIES SAC
City SAC
Utility Connection Charge
5&W Permit & 5urcharge
l"reatment Plant
License Search
Copiss
Other
Tota!
Building Inspector
, cirY oF EAGAN
`- 8795 Pilot Knob Rood Ea,en, MN 55122 N0 7788
PHONE: 464-81 QO &42 / - ?
BUILDING PERMIT Reteipt # rn
To ba uaed for R?M DEL• Est. Volue $2,000 Dote FehTU= 2 , 19_83--
Site Address 1961 BeSVe7c DSID COt1tt Ered ? Occuponcy R-3
Lot 53 BI«k 1 5ec/Sub. MeadOwl$nd Alter Zoning R-1
parcel # lU 4$0 SQ 063 01 Repoir p Fire Zone MA
Enlorga Q Type of Const. vfl
o
c Name David J. MCI,@B.Ii Move p 5tories
w
Z ]
ress 196I Beaver Dam Ceurt Demoiiah p Length NA
? phone 454-77S6 Grode ? Depth N& Sq. Ft.
ce
0 Narrie Owner Apprornls Fees
?F
?' Address
f- r:...
Name _
Address
Phone
1 hereby acknowledge thot 1 hove read this oppiicction ond state that
the information is correct and ogree to to ply with all applicobla
Stcte of Minnesoto Statutes and City of`E n Orcjinonce
Signoture of Pertnittee ? yd J. ??gn
/1 Building Permit is issued to:
oll work shail be done in accordonce with all opplicablq.?tate of Mii
Buiidinp Officiol
Assessment
Water & Sew.
Police
Fire
Eng.
Planner
Council
Bldg. Off.
' APC
Permit 32 _ 5n
Surcharge Lno
Plcn check
SAC
Wuter Conn.
Water Meter
Road Unit
Totol $33•SO
on the express tondition thot
Statutes ond City of Engan Ordinances.
*
crrx GaN- ,
'::?t' Knob -Road ` RERMIT.'NO
tEogon, MN 55122,• ' DATE:` , r.
Zoning TUt . No ofiUrnts
Owner, • .TQ86p12 r. x ? -
?
Address:
Site Address:
rya:
Z:iciWestern 1'ecy
. • ' -
Rlumber
m
,. Meter No..: - ' Connect,ionwCharg:e
?.. xX
Size:. ??.A¢tount =Depo?`sit? ??.
Rea,der No Permit ;Fee1?
1, ogiee to'eomp? with thes.CiFy ofREugon ??,?, ; SurchaFg? ?`? L??
Ordinanees ?. r .' . ?y * ?Misc r,?Charges.`-???
cirrr- EaoAN SEWER SERVICE PERMfT
3799l?ilot Knob Road PERMIT NO.: 4290,
`Ecgan, MN 55122 DATE:
Zoning: F.ZI No. of Units: 1 '
Owner: Joserh ?'j 1 ler '
Address:
Site Address: 1961 Beaver L'am Court LE3 BI MAarl0*j,6tiA
Plumber: *?401wo-.sLerr. *'ech
_ .r:y? ' y; ,: . `; •?11.'??'?
10/1180 21152
1 agma to eomply with the City of Eagon
Ordinanees.
By
. Dote of insp.:
Insp.
.. x?:
'
ConnecYion Ckarge;
4 O*<-
Account Depasit: s
Permit Fee:
Surcharge:.
-
Misc. Charges: -?a,
j?- 4 -
Totalc
Date ,Puid
GiT'1f t]F EAQiAN
3830 Pilot Knob Road, P.O. Box 21-198, Eagam, MN 55121 NQ.` 4
PHBNE: 454-8100
BUILQING PERMIT Rectiot #
To be used Ear DECR . Est Value $2,000. Date 4UNE 23 ,19 86
Site Adrfress L961 BLhVSR 1]AM C'I' Erect EK Occupancy
Lot-(ifi.38lock ?Y Sec/Stib. t?At}f?6?.ANdS I.9°lRemoelel ? 2or?ing
' Repair ? Typs oi Const.
Parcel Na.
Addition ? Na. Staries
KT3RT LA?nTTON Mave . ? Leng? 1, 6
? Name Demalish ? Depth
o Address S?$ 4Ps6--5fi77 Int lmpr. ? Sq. Ft
City Phone 690 7252 (W) Instal! ?
°C N S?sAMP APprovaFs Fen
z p ame
U ? Address
.
City Phone
a
Name
.
? q Add re5s
Clty Phone
I hereby acknowfedge fhat I have read th' . appliaation and state tha# the
information is oorrect and agcee 3o p with all applicable State of
lulinnesota 5tatutes and Ci a inances r?
Signature.of Permittee
A Buildin Permit is issued tp•
9 •
all work shall be dane in accnrdance with a11
Building
of Minn 4ta
, - et. ?.-f
Asse&sment Permit gaa• av
Water & Sew. Surcharge ? • ??
Pvlice Plan Review.
Fira SAC
Eng. VWater Conn.
Planner - Water Meter
Cauncil - Rosd Unit
13ldg..off.?.?/231B Tr. PI:
APC Parka
Var. Date Copi
TOtal
on the express car?dMon toot
Siatyifea.aua City- af. Eagan 4rcfirtattices.
44-` .
FeraiM Na. lyrmq Motdir ow Talephr+nW #
?
E?ie
SORMW
?4?spsoNen L'/?Is Ir? . Gc?
Fao?nqs 1 ?? ?9,,,?
Foa?s il
?Foan?IMlp?
PrN?un?
?
Rft-jh My.
Rouph H1a.
l1161lI.
k"foto
fNlsi Htg.
Flwal Pbs.
91dy. Finid
cart. Oec.
Dock Ftg.
Daek Frng. I-,t7$7
'Weli
- Osaerlbe I.oeMonm
Pr. Dkp.
??t' w ? W C?Y AF EA?w..... ?,' ,.; I^
?s ? K,?? ? 5.,.?,+w? ssin T??
? ?783 ??
p?v9i ?4.e1oo .
7 :
-
$UILDtNG PERMIT Rtceipt # ' -?
A
re r....a ?. „1?!?:?t:L .?z,
:?sr?•r. Est. Volue
'
Dote ?-@??r.t?aTY 2
..
..??..?..
Site Aderess 10F l 3ezver Dam Coiir± ?.
Erect
O
Occuporyey R-3
1
tot F^ 61xk MPadowlai,d
Sec/Sub.
Aiter p
Zoning r_
f
Parcel # 10 4 3 01:i Cl 1103 (11 R"ir p Fire Zona
?:avi:3 J.
"ICLe3i1 Enlo?s ? TYPe of Centt. n
a Name M o v e O # S ro r i e s
W Addross 1`'61 !yea
? vcr- Parr. Cour*_ Demotish p Length NA
Tat;an !"S1^^ 454-775F:
Groda p ?
Depth
Ft
Sq
ci phone .
.
Name ')wr? c r I?pp.orals Freir ? Address
r:..,
Name
Addross
Assessment Pe?mit '~ • ?`' ..
Wote? & Sew.
M.
Surchorpe 1 . (TO ?'??
Police Plon cheek ?
Fl n SAC '
Enp. Water Connr
Pfanner Woter Meter
Councii Rood Unit
1 hereby acknowledfle thot 1 hove reud this applicotian ond sfate that Bidp. Off.
the infomwtion is wrtect ond ogree I+o corgply with ail opplicable ^PC TOW .. ..?
.?;
StaM of Minnesota Statutes and Gty M E,agyn Ordis.
SiQnottue of Permittee
avia--j.-yrrzIZan
A Building Permit is issued ro: on rhe expro cwAtian Hw
oll work sholi be dore in oooordanoe wlth oll cpplitobleySfote of Minne??t Stotutes ond Cify of Ecqmn OndinonaN. ?
suikNl'p OffiC101 i i ' '/ ( •._ '-,c. - .,?
t
Pornit No. Parmk Hotdar Myc. Mrmit .. Ho. Hnldar
Plumbing . ? .
W.Y.A.C. '
w.c.. won
-
soww
Etoatric T 10-7q ? ?It<< L$ ?'S"?
InWfttion Dats hiv *. Other
Footinip
Faundotion
Fmnino
Rouqh Pibp.
«"a' "'? 9 3 ° ,?7
.
lnsm+atim
FMd Pft -
Finsl NVAC
Fi"
y? Oaoribs I.oation:
1Mq1 .
sawr
W.Ohp. ' .
? ?
..y
/ ?
M
...
vr? V?' LA\7AH
??" P16f ^nob R*W B"mI MM S5722 _
• FHONEe 4&8100 „
BUILDING FRMIT
Te bs wed fvr SF DWG GAR Est, vaiue 8000
Do,
?
1961 Aeaver Ila m Ct-
Site ?dd? E? ? y
Lot 6 3 Blak Sec/Sub. 1JletidOXI9I1dS Altar Q Zaning
Pa.cel # 10 48050 063 01 RepW. ? Fi.e zom
CY1
?i1??@ 0 - ???
T? 1Sf ,/??1?.
cc Nome Joseph ?.![iller Construc.
'
0
mow
LU 13015 Cedar Ave. S.
Aaa??
o?isr? o k
F?nr ? ?t
ci Apple Va11ey,AWme 454-4753 Grada q D"th ?. ' e.
Approm`
?
=+ „
NaFne
Z
ot
Addresc ,AssmssrWW* .9-10-. Pernrit a t;
ul
C Ph Water 8 Sew.
I
.;i
5undo?r? : • ZU
?
. orre
Polioe
PFan d+eck
.2-5
Name Fire SAC .. 523.04
?Z
x?
Addne?
Eng.
?Maisr ?C.a?rm7?:._... .' ?
Ci Pl?n?te Plonner ` VYcftr ? " ' • ?' *:,'?
Roa
d ?? ???
i heretiy ocknowleclge thot 1 have reod H??is a{?plication aa?d stote that ? ?{. .. •
the informotion is correet ond agree to eomply with oll eppliwble APC ?
5
7cft1 ?
€r?ti? • 2
,'
i
Staloe of Minnesoin Statwtas and City af Eog? Ordinanoes. ,
,s
?
.
,
$iynature of Permit{'ee ?
?
`
/? Buitding Permit is inued ro: Joseph 2•."311er Constr . ?"
o? the emp?
OWNblift-
oll woric shafl be done in aco?d?noe with otl opplionbfe State of Mimtiesata StotuCea wW C:IFy o?,&Wn y..
BuilcOng Offieid
`
?
. '
? . - j? . . . . .. .. ,. ?, a ?s'?.6 ? 3?',?
•.? ' _
s
Deb bmmd ?
Plumbieq b fd ' -
AAaci?aHaoi /b - ClJ
- - p d,
irVFC'rWM or+TE u?. ???a pmd
Footings D - flWs Mw. Date
Foundatton pkwnWna
Fecmlir+s. -&}-p'c)
Fincl p
Rerrsork?
I?l'?1 ?Ct? i3
cITV oF EaGaN PEAMM TvPE.
3830 Pilot Knab Road Perrnit Number:
Eagan, Minnesota 55122-1897 Date Issued:
(612) 681-4675
SITE QDDRE5S: N ' 10 - 4HW510 0 61 - 01 APPLICANT•
•
1. !'! S : ?i ;;i F31. (.tE: lti t ?.
I "t?v i t?,?tA V ?. r, r? A N ?-'3 ? ???r_? ?e ?????? ??a????r??;
?ta ?t???t.?t ?r?r.??? ? ?:; ? ? ??.? .? a ?a:p?w ? ,r?? .
PERMIT SUBTYPE: TYPE aF IfVORK:
:, T69M 0AMAJ;?-,
t} IF, C'1 C 14 1 1"' 1 10 f9
0011.??"(4
Permft Na. Permit lia(der @ate Yeiephone #
E1.ECTR1C
PL3JMBEIVG '
k4VAuC
tr+spm1on Date rnsp. corrkrnents
F4OTNNGB .
FC?UND
FFiAdulI+lfa
RC7OFING
ROUGH
PLUkMBII+Tt`a
FLBG
MR TfST
Rt]UGH
iifATlNG
GAS SVC
TE3T
INSUL
GYP BOARD
FIREPi:ACE
FIREPLRCE
AIfl TEST
FIM1AL PLBG
FINAI. HTG
ORSAT
7£St
BLDG FINAL
BSRAT R.I.
BSMT FINAL
DECK FTG
DF_CK F9NAL
,-
• ??
?
CITY OF EAGAN
BLTILDIlVG PERMIT APPLICATION
Include 2 sets vf plans,
1 site plan w/elevations &
1 set of energy calculations.
Zb Be Used For R£"? Valuatian L? Date ? `G?' ' '?•?
site Aaaress 1`01? or?IcE usE. onY
LotIA(03 Blorat 0-1 sec./sub. occuparicy
Paroel # : ? ? ?0r5v cCn ? ? Al.ter zon.i.ng ? I -
Repair Fire Zone N 4
Owner: Enlarcje Zype of Const.
Nbve # Stories
Address: /l?(v / j3 ? fF d?/'?- ?i?-N? ?-?- Donolish Fmnt ft.
Ci.,ty/Zip Cod,e; 2S- Grade Depth ft.
Phon+e # : 7 Z5 61
APPRUVALS FM
Contractor: Assessme.nts Permit ¢" 3 cV
Address : Z?at?er/Sewer Surcharge l
Police Plan Gheck
City/Zip Code: Z-Fire SAC
Water Conn.
Phone #: 7 75 ? l?anuler Water Meter
Council Road Unit _
Arch./Eng..
AfadreSS :
city/zip Goae:
Phone #:
Bldg. Off.
APC
----? ? ? ?s?---
'POTAL .?
1
'.t , i
?? / - ?-?.F h ?. A'rY
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f?? ? ? ? ,
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1'wT, . t??- ? ? ! ? ?(
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? . .. ? ---`-.
" ?` ? ? _ _.•. _.?_ 1'_ _-_ '.. 1_2-
(gerttftra#t of
of eagan ?
39rvttrtnterif nf Nutlaing -Insprrtinn
;,.
This Certif icatt i.rsuid pur.tuaru so thc nquiremenu o f Section 306 o f the Urjif orm Buildrng
r.: Codc cntifring that at the time of is.ruancc thil structure wa.r in comQliancc urith the varior+.r ;Y
ordinances o f thc City rcgulating building connruction or u.cc. For the f ollouring:
I;
?
SF DWG/GAR. eldg Pemdt No. 6212
r? OocuPa-,Y TYPe TYP Coosuuction v Fim Znaei Jn Zonin6 Disuict Rl Jos Mil er ConStr.Aaa?+ 13015 CPdar Ave S.Apple Va?;
o.aer ot amdine ?
1961 Beaver Dam Ct L.,;,r L63 Bl, Meadowlands ,
'. _d%? By: 12-10-80 ?
w? IM w coMMncuouS Rwcc
? .-%i?-. -,Q§wsv-, --qftwwp-?? IITHUiN 0 S.A.
O?Oas +ea
CITY QF EAGAN Remarks
Addition Meadowland 1ST Additian Lot 63 -Eik 1 __ Parcei 14 48050 063 01
Owner 1-43 't , f 'X . Ll ?+ i 2 (i , Street 1961 Beaver ?0tt! Court Stste--- EagAil, MAi 55122
{mpravement Date Amount Annual Years Payment Receipt Date
STREE'f SURF.
STREET RESTOR. ' ?1?7. • 1431.00 A009789 ?.2 22 g0
GRADING
SAN SEW TRUNK -"" ?970 ?7. 95 3.12 25
* SEWER LATERAL 6 SH 315.65 10 2 12 2 80
WATERMAIN
* WATERIATEFAL 19g1 10
WATER AREA , r 1973 95.27 6.35 15
STORM SEW TRK 1971 2$2.92 14.15 20
* STQRM SEW LAT 1981 10
• services 10
GURB & GUTTER
51DEWALK
STREET LIGHT
WATER CONN.
FiUILDING PER.
sAC 525.00 21152 10 1 80
PAR K
M ;
CfTY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
SITE ADDRESS;
PERMIT
PERMfT TYPE: BuILp zNG
Permit Number: 028221
Date Issued: 07f10/96
1961 BEAVER C3AM CT
L07': 63 BLOCK: 1
MEADOWLANDS 1ST
P.I.N. : 10-48050--053-01
DESCRIPTIDN:
(RvqFING)
ermit Type
QA,k Ty p e
s-raRM oAMaeE
F2EPAIf?
434 ALT. RESZDENTIWL
,?. .. .
a ?..
REMARKS:
FEE SUMMARY:
?wf b ' k-'?
i?a3 P? -?
CONTRACTOR: - Applicant - sT. LIC.OWIVER:
sOB N soNs ROaFrntG 19201251 2001289 aLSaN nAN
4553 KERXES AVE S 1561 BEAVER C)AP1 GT
MSNNERPqLIS MN 55410 EAGAN MN 55122
(612) 920-1251 (612)454-5314
z ; h e re b.v _w1e4 4?-It???
. d
-r-e C?n
E?t??n G4
L
APPLICANTlPERMITEE SIGNATURE
CITY OF EAGAN
itm 3830 PILOT KNOB RD - 55122
1996 BUILDING PERMIT APPLICATION (RESIDENTIAL)
681-4675
nts RemodeURepair
? 3 registered aite surveys ? 2 copies of pian
? 2 oopies of plans (include beam b windew sizes; pou?ed fnd. desgn; etc.) ? 2 site surveys (exterior additions 8 dedcs)
? 1 ene?gy calculations ? 1 energy catculations for heated additions
? 3 copies of tree preseroation plan ff lot platted aRer 711193
required: Yes _ No
DATE: ? ' 2-O --qL CONSTRUCTION COST: ? Z ? ? ? • ?
DESCRIPTION OF WORK: L-`- ,' Vki
STREET ADDRESS: 6 eow ev,
LOT BLOCK o-LJiqos0 -0(o3-0
PROPERTY Name: dVSOr 1)a+,?'Phone #:
OWNER • `"°* `M'T
Street Address*- 1161 &Q,J-eK TIMm C'?.
City: C ,??. State: Zip:
Phone #: q Lo - ( 2S ?
CONTRACTOR Company:
? ` % '? ¢
Street Address: ?; 3 6r SPs . S . License #: 0 ?? + ? 3 ?? ?
City: ?l'?hrec?c.?<<S State: ? Zip:_ 5 , o
ARCHITECT! Company: Phone #:
ENGINEER
Name: Registrativn #:
Street AddressCity; State: Zip:
Sewer & water licensed plumber: _ Penalty applies when address change and lot
change are requested once permit is issued.
i hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all
applicable State of Minnesota Statutes and City of Eagan Ordinances.
Signature of Applicant: `?-?-
?
OFFICE USE ONLY
Certificates of 5urvey Received
Tree keservation Plan Received
.
SUBD.lP.I.D. #:
Yes No
Yes No
.
,?
OFFICE USE ONLY
? , . :.?.
BUILDING PERMIT TYPE
a 01 Foundation o 06 Duplex
0 02 SF Dweiling a 07 4-plex
? 03 SF Addition o 08 8-plex
0 04 SF Porch o 09 12-piex
? 05 SF Misc. 0 10 _ plex
WORK TYPE
0 31 New o 33 Alterations
0 32 Addition * 34 Repair
GENERAL tNFORMATION
Const. (Actual)
(Allowable) ?
UBC Occupancy
Zoning
# of Stories
Length
Depth
APPROVALS
? 11 Apt./Lodging ? 16 Basement Finish
? 12 Multi Repair/Rem. ? 17 Swim Pool
0 13 GaragelAccessory ? 20 Public Facility
a 14 Fireplace C? 21 Miscelianeous
0 15 Deck
a 36 Move
? 37 Demolition
Basement sq. ft.
Main level sq. ft.
sq. ft.
sq. ft.
sq. ft.
sq. ft.
Footprint sq. ft.
Planning Building
Engineering
MC/WS System
City Water
Fire Sprinklered
PRV
Boos#er Pump
Census Code.
SAC Code
Census Bidg
Census Unit
Variance
..
Permit Fee
Surcharge
Plan Review
License
MCNVS SAC
City SAC
liriater Conn.
Water Meter
Acct. Deposit
S1W Permit
SNV Surcharge
Treatment PI.
Road Unit
Park Ded.
Trails Ded.
Other
Copies
Total:
Valuation: $
% SAC
SAC Units
?
? L BL ? CITY USE ONLY ??a 8 q
RECEIPT #: _
( `4L RECEIPT DATE: ? ? 3 ??
SUdD •
1998 PLUMBING PERMIT (RESIDENTIAL)
CZTY OF EAGAN
3830 PILOT IQdOH RD
EAGAN, M 55122
(612) 681-4675
Please complete for: ? single family dwellings
? townhomes and condos when permits are required for each unit
? backflow preventer for underground sprinkler system
_____w- - --------- --------- --------- ----------
FIXTURES -------------------
EACH - --
#
TOTAL
Shower 3.00 x =
Water Closet 3.00 x =
Bath Tub 3.00 x =
Lavatory 3.00 x °
Kitchen Sink 3.00 x =
Laundry Tray 3.00 x _
Hot Tub/Spa 3.00 x -
Vftter Heater 3.00 x
Floor Drain 3.00 x =
Gas Piping Outlet * minimum - 1 3.00 x _
Rough Openings 1.50 x
Water Softener ' for dwellings under construction 5.00 x
Water Softener " for existing dwelling 20•00 X
U.G. Sprinkler ' for dwelling under const. 3.00 _
U.G. Sprinkler ` for existing dwelling 20.00 _
Alterations "' to existing residence 20.00
Water Tum Around 20.00 -
Private Disposal System " MPC iic. 75.00 =
(new and refurbished systems)
' 00
2Q -
Abandonment
Private Disposal Systems . _
RPZ (new installation only) 20.00
STATE SJRCHARGE .50
TOTAL z0"50
------------------------------------------------------- --- -------
----------------------------------- --------------------- -
I hereby adcnowledge that I have read thi- s --application, state that the i- nfo -r-m- ati--on-- is co-rrec-t-,-and ---- agree to comply with all applicable City af Eagan ordinances.
It is the applicanYs respo' ` Eagan assumes no liability for any damages caused by the City during its
n o r m al o perational and rr OLSON, DANIEL er this permit within City property/right•of-wayJeasement.
1961 BEAVER DAM
SITE ADDRESS: EAGAN, MN 55122
(612) 454-9314
OWNER NAME: _
INSTALLER NAME: hI OQZl,01UI fllAm P?JmG TELEPHONE #:
STREETADDRESS:
CITY: /`? l I of? I?POLrt S _ STATE: Nt LJ- ZIP: O
51GNATURE?6F PEMTTEE
CD/PERMIT FORMS/RPLBG PERMIT (RES) - 1998
CITY OF EAGAN
'k • 3795 Pilot Kno6 Rwd Eagan, MN 55122 N! 6212
PHONE: 454-8100
BUILDING PERMIT APPLICATION Recetpt
To be uted For SF DWG/G.AR Est. Value 38,000 Date l0-? , 19-8Q-
Site Address 1-A61 BP3ver D= C;t Erect Xfj Occupancy R3
Lot 63 _ Block 1? Sec/Sub. Meadowlands Alter ? Zoning Rl-
10 48050 063 al Repcir ? Fire Zone 3
porcel #
Enlorge Q 7ype of Const. V
W Name Joseph Miller Canstruc. Mave [] # Stories
3 Address 13015 Cedar Ave. S. pemolish Q Front ?+5 ft.
° ci Apple Va11ey,IUha?e 454-4753 Grade ? Depth 37 ft.
ce N m Appr'ovole Fees
Zo a e
SaEle
Address
~ Ci Phone
?
WW Name
?-?? Address
azW CiN Phone
I hereby ucknowledge thet I have read this application and state that
the information is rnrrect and agree to comply with all opplicable
Stote of Minnesota Stntutes ond City of Eagen Ordinances.
AssessrrAQ 9-3n-80
Water & Sew.
Police
Fire
Eng.
Planner
Council
Bldg. Off.
APC
Permit 11v. ?v
Surchar9e 19.50
Plun check 55.25
sAC 525.00
Wcter Conn. 305.00
Wcter Meter 60 . 00
Road Unit 185.00
Totot 1; 260.25
Signuture of Permittee I
A Buiidin9 Per,r,it is issued co: Joseph Miller Constr. on the express Condition thet
olt work sholl be done in accord9mce with nll eppliceble Stnte of Minnesota Statutes ond City of Eagen Ordinances.
Building Officicl
?-?
?,'i i
'Ib Be Used For New home
Site Address 1961 B avee r Dam Ct. Ea an
LOt 63 Block 1 Sec. Sub.
? Meadowland
Parcel # :
.
Owner:
Address:
CitY/Zip Code:
Phone #: .
Contractor: Josenh Miller Const Co. Address: 13015 Cedar Ave. So.
City/Zip Code: MN 55124
Phore # : - 454-4753
Axch. /Eng.
Addres .
City/Zip Code:
Phone #:
CITY OF EAC',AN
BUILDING PERMIT APPLICATION
Include 2 sets of plans,
1 site plan w/elevations &
1 set of energy calculations.
Valuation 38,000 Date
9/19/80
OFFICE USE ONLY
Erect Occupancy
? 3
Alter -
Zoning
RePair Fire Zone
EnlarSe ?
Zype of Const. V
A'bve # Stories
Detrolish Front ft
Grade .
Depth -?------
? 7 ft.
APPROVALg FEES
Assessnents . ? ermit
Taater/Sewer S D, ? o
Police Surcharge t,j?ro
Plan Check ? .+r. a
Fire g?
Encj• Water Conn.
Planner Water Nieter
Council
RQad Uni t?E??-. Q e
Bldg. Off.
APiC
'IC)TAL
?
.,
'• •Certificate Por:
Dunn & Curry
Jin Miller Const.
DELMAR H. SCHWANZ
LANDSURVEVOR
R"ist*r*tl Under Laws oT Tht State ot Minnesota
2978 - 146TH STRHET W. - BOX M ROBEMOUNT, MINNESOTA 66066 PHONE 612 413-17N
E3 7•90 N'1'3o S VEYOR'S CERTIFICATE
?. 4• ?9'9 (__j?_j)ENOTES 'RoPost o FtIJIsV*p Qft1
__..?
1!e'460
?
l ? r ? -.? \ k 190
? . ?
\
6
.?
?2 \
?
tBHk _
q d
'.? 45P7 '' _ ..
I hereby certify that this is a
true and correct representation of 00
Lot 63, Block 1, MEADOWLAND FIRST
ADDITION, according to the recorded t? R 'p;?,M Gpy?,T?
plat thereo£, Dakota County, Minnesot?:?J?
Dated: June 16, 1980
Approved for Dunn & Curry Real Estate Management, Ine.
by:
A18o showing the proposed location of a houae.
Da,ted: September 12,1980.
QEaseo 140.hm 9_ i(*-+9t0
\ z8'
?> 1 J ?
R--- 4T.?9 ?.?
?
MINNESOTA REGIST ATION N0.8825
? • • •
•-
owi4Liz:
SITL•' ADUF1:5S:
nnxL ?? ????? --
PIiONE:
CONTRAC'1OR: 1
Aetexmine working square,footage of each
1, ToCal CY.OOSCd wall arca ...... Li-I 'a? sq. ft. x .17 • 41 ?
.1_ 0'?
2. 7'ati]. ruoi?/?e:.ling arca ...... .._4- sq. ft. x .05 ° d
Total ex}:osed wall area nbove floor = 157
. • ? .?
a. Tota]. wall windiw area .................................
....
i... t.:.3. !!:`:!C -iYC!ii ............................ .......
C. TJ ?:iZ dJUr area . . . . . . . . • . . . . . . . . . . . . . . .. ___?
d. Tot:dl LirepIace wali area .............................
Q. Tot:xl ?tall fra,niny arca (averagc 10%) . . . . . . . ... .. . ... . .
?.
f. Total rim joist araa ..................................
ZI ?
g. L)Err wal]. area above floor ..........................
h. aren aboye r .......................... .
i. .......................... .
j• = "+. . .......................... --
vieotal e%posed foundation area = V
?
::1,1tion wi.ridnw ar..:a ...........................
k. t1 io, 11
1. `Pr,r.al net £oundation area above grade ................. ,
peCcr.mine "U"
(e.g. window, valuc of each wall segment
door, each separate wall section)
a.
,
x .-U,.
b. x „u,.
C ?? . CA x „U„ 42
.
d. ? v fltllF _ -• --------
e.
/Sx
.,LI„
0/ 2 -
I
t
.?1, ?
9 x "U„
• _._
--
? ? • X .
__ .__ ------- "U" "
--------°-
?'
_____ __
r
_ '
X "u "
? • __.?__?---- __._...?_ ?
X "U'` '
1. . ._ __.._ . _ . . __ _ .. _...__ ____.._ ._.. ?_.....
? . •- - - - ?`.'? '?_ h "U" ? . C,??__._ :? ?• ?
b
. . . , . xotal
F;::TI:RIOIt L".1VELOPIi I:VI.(J1(;E "U" COMPL'TATIUN
'tL x?cia 113 is thc sarne c
?
cSr' les: Chan itcm ;I1, yc
1iuvA met thv inCent c:t
;;li,^. GfrUfi (C) 2.
I ?•'"Cxt;?rior Envclope Averane "l1" ComputaLion
. ,
Tuta1 exposed roof/coiling area
m. 7bta1 skyliglit area ............................ "
n. Total. roof/cei.] i nt-t framinry arr,;? (avcr.a?je
o. Total net ira:ulated roof/ceiling area...........
Uetermine "v" valuc for each roof/ceiling segment
X n . x
_---
o. -7 Co . l x„u„
4 . . . . . . . . . . . . . . . . . . . . . . . . . . . 7btal
Page 2 of 4
Ii tota.l of 44 is t]ie swne as, or less than #2, you have met the intent of
Stic, 00051 (c) 1.
Alternare fiuilding Fnvelope Design _
Zb utilize the total envelope system method, the values astablished by the s•,un of
itun:; 113 and.#4 shall nat be greater than the sum of ittms Nl and #2.
1. 30 I,? ? + z.
3. Z3? . I + 4.
1
r , CITY OF EAGAN ^ 3830 Pilot lCnob Road, P.O. Box 21-199, Eagan, MN 55121N2 12154
BUILDING PERMIT PHONE:454-8100 ReceiPt # G-
To be used tor DECK Est. Value $ 2,0 0 0 Date JLINE 23 19 86
Site Address 19 61 BEAVER DAM CT Erect C11 Occupancy
Lot 063 glock 01 Sec/Sub. MEADOWLANDS 1STRemodel ? Zonino
Parcel No. Repair ? Type of Const.
Addition ? No. Stories
W Name KURT LAWTON nnove ? Length 16
SAME 456-5677 Demolisn ? Depth N}
o Address Int. Impr. ? Sq. Ft
City Phone 690 7252 (W) Install ?
¢ S? Approvals Fees
. o Name
z ?-
0
de
Address
~ City Phone
?
F W Name
v ? Address
e W Ciry Phone
Assessment _
Water & Sew.
Police
Fire
Eng
Planner
Council
Permit $ 3 2 . 5 0
Surcharge 1.00
Plan Review
SAC
Water Conn.
Water Meter
Road Unit
I hereby acknowledge that I have read t is application and state thatthe gldg. Off. 6/23/86 Tr. PI.
information is correct and agree to m y with all a licable State of
Minnesota Statutes and Ci an i anc APC PaYks
VA,
Var. Date Copies $33.50
Signature of Permittee
Totai
A Building Permit is issued to: KURT LAWTON on the express condition that
all work shall be done in accordance with all ap ca of in s?Sta u? d i agan Or nces.
Building Official
?- - -
1986 BIIILDIAG PSRKIT APPLICATIOH - CITY OP' SAGAN
NOYS: ALL CONTRAC?OHS MI1ST B8 LICEBSED iTITH THB CITY OF SAGAN
SIAGLE FAMIILY DWELLINGS
INCLUDE 2 5ETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS
MULTIPLE DWfiLLINGS - RESIDSNTIAL.
RENTAL DNITS FOR SgI.S ONITS
INCLUDE 2 SETS OF PLANS, CER'PIFIC9TE OF SORV6Y - CHECK WITH BLDG. DEPT.,
1 SET OF ENERGY CALCIILATIONS
COM?I'sRCIlI.
INCLUDE 2 SETS OF ARCHITECTURAL
1 SET OF SPECIFICATIONS AND 1
ENERGY CALCULATIONS,
$2,000 LANDSCAPE BOND
To Be Used For: ??ec
Site Address I 7CP 1
Lot 6 ? ?3loek C) I
& STRUCTORAL PLANS,
SET OF
Valuation: ?
Parcel/Sub 'JY?.???? )'-?
Owner Z-a I,o?m
Address 1961 aavet e.
City/Zip Code
Phone
Contractor SPI ?
Addreas
City/Zip Code
Phone
Arch./Engr.
Address
City/Zip Code
Phone #
Date: -l - ?
Erect ? Oecupancy
Remodel Zoning
Repair Type of Const
Addition # of Stories
Move Length ?
Demolish Depth f?
Int.Impr. Sq Ft
Install
APPR09ALS FEES
Assessments Permit
Water/Sewer Sureharge
Police Plan Review
Fire SAC
Engr Water Conn
Planner Water Meter
Council Road Unit
Bldg Off Treatment P1
APC Parks
Varianee Copies
?OTAL
NOTE: ADDBESSES FOR CORNER LOTS - CONTRiCTOR/flO1rIE0WNEE MUST DESIGNITE WHICH ADDRE3S
IS DESIRED. NO CHANGES WILL BE AI.LOTi'ED ONCE BOILDING PSRMIT IS ISSIIED.
?
cD
. ? ? ?? ? ?: ?/8 „-- 1,
..??
? ' ? r " ? ?, • 19?1 t3 ? ?= `,' :_ ?- .?,? 1?? CT
.
cA G? N, NIN s?! ??
?wNE
E S FL F
klvl, 6q0- 7252 41 V r ?- H
/, G( M.8 ER=Tr'D Gvonz to,e : (-4.z 4- a rR 54 S KD TiPFi4Tt-p P6 N.D ERw filN?-)
•ShfeY,or Jo1 5is + &dr?s
O-IrdFvtar vlOCk,':t3
',ifd ileir o r, rta u s E'_
' Pos eS
RE.LWOOL t0? :
• E??d ? o ??Sf 5
• .De ck ?'?9
• l?a, ?s o. ?'aps
• S-f d?
K--- 66'
cor
L/NF
LoT L1 NF
i
Qg,
I LoT L/NF
.rl756I
2007 RESIDENTIAL BUILDING PExMIT arPr.icaTiorr
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New Construction Reauirements
3 registered site surveys showing sq, ft. of lot, sq. ft. of house; and all roofed areas
(209`o maximum lot coverage allowed)
1 Soils RepoR if proposed building is to be placed on disturbed soil
2 copies of plan showing beam & window sizes; poured found design, eic.
1 set of Energy Calculations
3 copies of Tree PreservaGon Plan if lot plafted after 711193
Rim Joist Dehail Options selection sheet (buildings with 3 or less units)
Minnegasco mechanical ventilation form
RemodeURepair Reouirements
2 copies of plan showing footings, beams, joists
1 set of Energy Calculations for heated additions
1 site survey for additions & decks
Add'dion - indicete if on,s'rfe septic system
ptan-q arP r_nns«iprPd nueiic infarmation unless vou state thev are trade secret and the reason.
Date
Site Address ? I? Construction Cost
? Qeo?u' ?? ??'^^ ?• Unit/Ste #
?a? qr M 1? J S 1 ZZ
Description of Work ?..1 E?
Multi-Family Bldg _ Y/ N Fireplace(s) _ 0 2
Property Owner -'DG t v, £ K&uY 4 Telephone # ( ?OS ( ) `4 S `{
Contractor
Address City
State Zip Telephone # ( )
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Categor?l _ Minnesota Rules 7672
Energy Code Category
• Residentiai Ventilation Category 1 Worksheet • New Energy Code Worksheet
(4 submission type) Submitted Submitted
• Energy Envelope Calculations Submitted
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
_ Y _ N If yes, date and address of master plan:
Licensed Plumber
Mechanical Contractor
Sewer/Water Contractor
Telephone # (
Telephone # (
Telephone # (
e??.6,5?)
Office Use Oniv
Cert of 5urvey Recd _ Y_ N
Soils Repod _ Y _ N
Tree Pres Plan Recd _Y _N,
Tree Pres Required _ Y_ N
On-5ite Septic System _ Y_ N
I hereby apply for a Residential Building Permit and acknowledge that the information is compiete ana accurate;
that the work will be in conformarice with the ordinances and codes of the City of Eagan and the State of MN
Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a
pernut; that the work will be in accordance with the approved plan in the case of work which requires a review and
approval of plans.
0
Applicant's rinted Name
,Q,?,-? ?
Applicant's ' ature
DO NOT WRITE BELOW THIS LINE
Sub Tvpes
? 01 Foundation
0 02 SF Dwelling
O 03 01 of _ plex
? 04 02-plex
? 05 03-plex
0 06 04-plex
Work Tvpes
? 31 New
? 32 Addition
? 33 Alteration
? 34 Replacement
? 07 05-plex
? 08 06-plex
? 09 07-plex
? 10 08-plex
? 11 10-plex
? 12 12-plex
DesCClption: Water Damage
? 13 16-plex
? 16 Fireplace
? 17 Garage
? 18 Deck
? 19 Lower Level
? 20 Pool ?
? 21 Porch (3-sea.) ?
? 22 Porch/Addn. (4-sea.) ?
? 23 Porch (screen/gazebo/pergola) ?
? 24 Storm Damage
0 25 Miscelianeous
30 Accessory Bldg
31 Ext. Alt - Multi
33 Ext. Alt - SF
36 Multi Misc.
? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding
? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair
? 37 Demolish Building* ? 43 Reroof ? 46 Windows/Doors
*Demolition (Entire Bldg) - Give PCA handout to applicant
Yes
Valuation Occupancy MCES System
Plan Review 100% or 25% Code Edition
Census Code Zoning City Water
SAC Units Stories Booster Pump
# of Units Sq. Ft. PRV
# of Bldgs Length Fire Sprinklered
Type of Const Width
REQUIRED INSPECTIONS
_ Footings (new bldg) Sheetrock
_ Footings (deck) FinaUC.O.
_ Footings (addition) Fina]!No C.O.
_ Foundation HVAC
_ Drain Tile Other
Roof _ Ice & Water _ Final _ Pool Ftgs Air/Gas Tests Final
_ Framing Siding
Stucco Lath
Stone Lath
Brick
_ Fireplace _ R.I. _ Air Test _
_ Final _
_
_
Windows
_ Insulation _
_ Retaining Wall
Approved By:
Base Fee
Surcharge
Pfan Review
MC/ES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
Building Inspector
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA119648
Date Issued:12/11/2013
Permit Category:ePermit
Site Address: 1961 Beaver Dam Ct
Lot:063 Block: 1 Addition: Meadowlands 1st
PID:10-48050-01-063
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Water Heater & Water Softener
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Daniel Olson
1961 Beaver Dam ct
Eagan, MN 551222221
Fee Summary:PL - Permit Fee (WS &/or WH)$55.00 0801.4087
Surcharge-Fixed $5.00 9001.2195
$60.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Daniel R Olson
1961 Beaver Dam Ct
Eagan MN 55122
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA119689
Date Issued:12/12/2013
Permit Category:ePermit
Site Address: 1961 Beaver Dam Ct
Lot:063 Block: 1 Addition: Meadowlands 1st
PID:10-48050-01-063
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Water Heater
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Greg Martin
14105 Rutgers St Ne
Prior Lake, MN 55372
Fee Summary:PL - Permit Fee (WS &/or WH)$55.00 0801.4087
Surcharge-Fixed $5.00 9001.2195
$60.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Daniel R Olson
1961 Beaver Dam Ct
Eagan MN 55122
Appliance Installers Of Mn
14105 Rutgers St NE
Prior Lake MN 55372
(952) 469-8341
Applicant/Permitee: Signature Issued By: Signature
Use BLUE or BLACK 1
For Office Use
'1 Eapli
Perm #: /CltOl 4Permit Fee: J2�'b
3830 Pilot Knob Road
Eagan MN 55122 r j Date Received; .0"7 /7
Phone:(651)675-5675
buiidinoinspections@citvofeaoan.com Staff:
2017 RESIDENTIAL BUILDING PERMIT APPLICATION
10-16-2017 1961 Beaver Dam Court Eagan, MN 55122 ?�
Date: Site Address: Unit#:
Dan and Mary Ann Olson 651-500-9651
Name: Phone:
Resident! 1961 Beaver Dam Court Eagan, MN 55122
Owner Address/City/Zip:
X
Applicant is: Owner Contractor
Bathroom remodel
Type Of Work Description of work:
$10,067 X
Construction Cost: Multi-Family Building:(Yes T/No )
Koster Construction Inc. Jared Koster
Company: Contact:
3991 Lakewood AVE White Bear TWP
Contractor Address: City:
MN 55110 612-720-3764/ jrkoster@kosterconstruct.com
State: Zip: Phone: Email:
BC726973
License#: Lead Certificate#:
If the project is exempt from lead certification, please explain why:
Home was built in 1980
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
In the last 12 months,has the City of Eagan issued a permit for a similar plan based on a master plan?
Yes No If yes,date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer&Water Contractor: Phone:
Fire Suppression Contractor: Phone:
NOTE:Plans and supporting documents that you submit are considered to be public information. Portions of the
information may be classified as non-public if you provide specific reasons that would permit the City to conclude that they
are trade secrets.
You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on
the City's website at www.citvofeagan.com/subscribe.
Exterior work authorized by a building permit Issued in accordance with the Minnesota State Building Code must be completed within 180
days of permit issuance.
CALL BEFORE YOU DIG. Call Gopher State One Call at(661)454-0002 for protection against underground utility damage. Call 48 hours before
you intend to dig to receive locates of underground utilities. www.00pherstateonecall.orq
I hereby acknowledge that this information is complete and accurate;that the work will be in confo nce with the ordinances and codes of the City of
Eagan;that I understand this is not a permit, but only an application for a permit, and work' to start without a permit-; hat the work will be in
accordance with the approved plan in the case of work which requires a review and approv,, pl s.
Jared Koster
x
Applicant's Printed Name Applicant's Signature
Page 1 of 3
06 441/64- D11)-
DO NOT WRITE BELOW THIS LINE /V' .--? 'V
SUB TYPES
_ Foundation — Fireplace — Porch(3-Season) _ Exterior Alteration(Single Family)
4, Single Family — Garage — Porch(4-Season) _ Exterior Alteration(Multi)
_ Multi — Deck _ Porch(Screen/Gazebo/Pergola) — Miscellaneous
01 of_Plex Lower Level Pool Accessory Building
WORK TYPES
New — Interior Improvement _ Siding _ Demolish Building*
_ Addition _ Move Building _ Reroof _ Demolish Interior
Alteration _ Fire Repair _ Windows _ Demolish Foundation
Replace _ Repair _ Egress Window _ Water Damage
Retaining Wall "Demolition of entire building-give PCA handout to applicant
DESCRIPTION
Valuation )1 l9 (9 0 Occupancy j 'j MCES System
Plan Review Code Edition vevrvsn,of SAC Units
(25%_100% k) Zoning 1'b City Water
Census Code Stories Booster Pump
#of Units Square Feet PRV
#of Buildings Length Fire Suppression Required
Type of Construction /h Width
REQUIRED INSPECTIONS �J
Footings(New Building) Meter Size:
Footings(Deck) Final/C.O. Required
—
Footings(Addition) \L.
Final/No C.O.Required
Foundation Foundation Before Backfill HVAC_Gas Service Test Gas Line Air Test
—
Roof: Ace&Water _Final Pool:_Footings _Air/Gas Tests _Final
—
Framing 30 Minutes 1 Hour Drain Tile
Fireplace:_Rough In Air Test _Final Siding: Stucco Lath _Stone Lath Brick_EFIS
Insulation Windows
—
Sheathing Retaining Wall:_Footings_Backfill—Final
—
Sheetrock Radon Control
—
Fire Walls Fire Suppression:_Rough In_Final
—
Braced Walls Erosion Control
—
V Shower Pan Other:
Reviewed By: IL. , Building Inspector
RESIDENTIAL FEES
Base Fee
Surcharge /f y
Plan Review `1 ("( °
MCES SAC
0 f°1
City SAC
Utility Connection Charge
S&W Permit&Surcharge 0 u7 V
Treatment Plant ,�-Ao9 , „2.
Copies 1
TOTAL
Page 2 of 3
Use BLUE or BLACK Ink
For Office Use
tf3a1)
Cityof Eaa� Permit#:Permit Fee:
3830 Pilot Knob Road
Eagan MN 55122 Date Received:
Phone: (651) 675-5675 Staff:
buildinginspectionsacityofeagan.com
2017 RESIDENTIAL PLUMBING PERMIT APPLICATION
Date: I- '" 1-3 tZ Site Address: A5t 6 G-ew\ie,l' j a ‘A./\ C
Tenant: Suite#:
Resident/ YUnet Name: a vn t 0 ( S a U7 Phone: `
Address/City/Zip: 9 /4 t3 ecw LC 6-k vr�t C I..� ea A4 ti'
Name: License#:
Contractor
Address: City:
State: Zip: Phone:
Contact: Email:
New Replacement !Repair _Rebuild _Modify Space Work in R.O.W.
Type of Wore — — —
Description of work: e��n �..� r I( i vu l p� I A s�.w✓c.1) 7 vy �,"
RESIDENTIAL 5' u nc P mel a�G �cnnrT Y
s0-114-
.
Water Heater
Lawn Irrigation ( RPZ/_PVB) Water Softener
Permit Type
Septic System Add Plumbing Fixtures( Main/_Lower Level)
New Water Turnaround
Abandonment
RESIDENTIAL FEES:
$60.00 Water Heater, Water Softener, or Water Heater and Softener(includes State Surcharge)
$60.00 Lawn Irrigation (includes State Surcharge)
- $60.00 Add Plumbing Fixtures, Septic System Abandonment,Water Turnaround*(includes State Surcharge)
*Water Turnaround (add$280.00 if a 3/4"meter is required)
$115.00 Septic System New(includes County fee and State Surcharge) TOTAL FEES $
CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage. Call 48 hours before you
intend to dig to receive locates of underground utilities. www.qopherstateonecall.orq
You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's
website at www.citvofeagan.com/subscribe.
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in
accordance with the approved plan in the case of work which requires a review and approval of plans.
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Applicant's Printed Name Applicant's Signature
FOR OFFICE USE t ,' : :Reviewed Ry Date:
Required Ilnspections Under trot nd : Rough-In Alr Test Cas Test Final
Meter Related Items : Meter Size Radio Read Manometer Staff:.